Active NPI
Amanda Clemons, LMHC
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1215319512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60093424
- Practice address
- 405 E Hartson Ave Ste 7
Spokane, WA 99202-1329 - Phone
- (509) 362-5933
- Fax
- (509) 847-1117
- NPI assigned
- Jun 23, 2015
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60093424 | WA | Primary |
Addresses
Primary practice location
405 E Hartson Ave Ste 7
Spokane, WA 99202-1329
Mailing address
405 E Hartson Ave Ste 7
Spokane, WA 99202-1329
Phone (509) 362-5933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60093424 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Clemons Parenting & Therapy | Mental Health | Current | Accepting new patients |
Locations
405 E Hartson Ave
Ste 7
Spokane, WA 99202
Phone (509) 362-5933
3120 S Grand Blvd
Unit 8473
Spokane, WA 99203
Phone (509) 315-5561
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1215319512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 E HARTSON AVE STE 7",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021329",
"telephone_number": "509-362-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E HARTSON AVE STE 7",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021329",
"telephone_number": "509-362-5933",
"fax_number": "509-847-1117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "AMANDA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60093424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.